Individual
CARMELITA HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
521 SHUGA BLVD, JEFFERSON, GA 30549-1204
(706) 431-5357
Mailing address
677 BAILEY DR, JEFFERSON, GA 30549-7125
(484) 797-9386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015592
GA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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